# DIAMOND M DENTAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386913713
- **Authorized official:** C L HINDERBERGER (OFFICE MANAGER)
- **Authorized official phone:** (928) 425-0670

## Contact information

- **Practice address:** 198 W OAK ST, GLOBE, AZ 85501-2544
- **Practice address phone:** (928) 425-0670
- **Mailing address:** 198 W OAK ST, GLOBE, AZ 85501-2544
- **Mailing address phone:** (928) 425-0670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | F0286 | AZ | Yes |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 12/13/2011